心脏外科术后使用无创呼吸机患者的集束护理体会  

Reflection on Applying Centreline Bundle on Continuous Positive Airway Pressure(CPAP) On Post-Cardiac Operation Patients

作　　者：戴淼[1] 张静波[1] 王丽丽[1] 娄玉红[2] 宋淑平[3] 

机构地区：[1]哈尔滨医科大学附属第一医院,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第二医院普外科,黑龙江哈尔滨150086 [3]哈尔滨医科大学附属第四医院护理部,黑龙江哈尔滨150001

出　　处：《现代生物医学进展》2012年第17期3329-3331,3328,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨机械通气患者拔管后使用呼吸机无创呼吸机所给予的集束护理干预方法。方法:选取2010年10月至2011年10月心脏外科术后首次拔管后应用无创呼吸的病人,总结其拔管后使用无创呼吸机的集束护理经验。结果:针对使用无创呼吸机患者,集束护理策略可大大减少其不良并发症,并缩短其在ICU的住院时间,大大地提高了其生活质量。结论:无创呼吸机的应用有赖于患者的积极配合及医护人员的熟练操作,也有赖于护士的自身素质和观察能力,而根据无创呼吸机指南制定出的集束护理策略的应用,可减少患者的并发症,缩短其住院时间,提高患者的生活质量,具有临床意义,值得普遍推广。Objective： Investigate the effects of Centreline Bundle intervention on mechanical ventilation Patients who used CPAP after removal of tubes.Methods： Build medical journals for mechanical ventilation Patients who used CPAP after removal of tubes and reflect on the relative nursing experience.Results： For the CPAP Patients,Centreline Bundle Strategies significantly reduce the incidence of undesirable clinical symptoms and duration in ICU and largely increased quality of life of the patients.Conclusion： The effectiveness of CPAP depends on the cooperation of the patients and the skills of nursing staff.It also depends on individual nurse＇s merit and ability to observe.The Centreline Bundle Strategies,which is designed to complement CPAP,helps to reduce the incidence of undesirable clinical symptoms and duration in ICU and largely increased quality of life of the patients.These strategies generate material clinical benefit and should be encouraged.

关 键 词：心脏外科 无创呼吸机 集束护理 

分 类 号：R473.6[医药卫生—护理学]